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South Dakota rates for HCPCS 85611

Prothrombin Time Substitution Plasma Frctj Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.70 / $3.70 / $3.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $3.70 / $3.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $7.83 / $7.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $7.18 / $8.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $5.60 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $3.55 / $8.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $8.03 / $12.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $8.76 / $11.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $9.19 / $10.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $2.76 / $4.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $3.94 / $3.94